NPI | 1205252426 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN B TATE Owner 502-454-7871 |
Organization Subpart ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: KY 39021) |
Enumeration Date | 2014-03-12 |
Last Update Date | 2014-03-12 |